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New Update: Healthcare Costs Increasing by Over 60% in Some States. Will you be impacted?

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Essential 2024 Tax Break Insights for Select Medical Holdings Employees: What You Need to Know

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Healthcare Provider Update: Healthcare Provider for Select Medical Holdings: Select Medical Holdings operates primarily through its network of specialized rehabilitation hospitals and outpatient rehabilitation clinics. Their healthcare services focus on providing rehabilitation services for critical illness, physical therapy, and long-term acute care hospitals, making them a significant player in the healthcare sector. Potential Healthcare Cost Increases in 2026: As we approach 2026, significant increases in healthcare costs are anticipated, primarily driven by expected record hikes in Affordable Care Act (ACA) premiums. With states facing premium increases exceeding 60%, many individuals may experience out-of-pocket premium hikes of up to 75%, drastically affecting affordability. Contributing factors include the potential expiration of federal premium subsidies and rising medical costs from hospitals and providers. This perfect storm of financial pressures underlines the urgent need for consumers to prepare for the impending increase in healthcare expenses. Click here to learn more

The corporate landscape has seen significant upheavals with job losses spanning various industries, touching even the most robust workforces. In 2023, the technology sector alone saw over 260,000 job terminations, with major players like Google, Amazon, and Microsoft at the forefront. Similarly, Citigroup reported about 20,000 job cuts, equating to roughly 10% of its workforce, with comparable reductions at UPS, Macy's, and even Sports Illustrated.


For Select Medical Holdings employees, these unsettling times bring crucial financial decisions to the forefront, particularly concerning the management of 401(k) plans, a critical component of many workers' life savings. In this climate, financial advisors are more essential than ever, aiding employees in understanding their options amid new fiduciary regulations from the Department of Labor, emphasizing the importance of informed asset transfers to individual retirement accounts (IRAs).

One often-overlooked strategy is the net unrealized appreciation (NUA) tax deduction, particularly valuable for employees holding Select Medical Holdings stock in their 401(k)s. As stock values potentially increase, this equity can represent a significant part of retirement plans and offer substantial tax savings if managed correctly.

Under the NUA tax benefit, Select Medical Holdings company shares within a 401(k) can be part of a qualified lump-sum distribution. At distribution, the stock's appreciation is taxed at the favorable long-term capital gains rate, rather than the higher regular income tax rate—this applies even if the stock was held for less than a year. However, any appreciation after the distribution and before sale is taxed as ordinary income unless held for at least one year.


The NUA benefit is contingent on specific conditions. Firstly, a qualifying event like a layoff, retirement, or other separation from the company must trigger it. Other qualifying events include death, disability (only for self-employed), and reaching age 59½. Secondly, the distribution must occur within one calendar year following the triggering event as part of a qualified lump-sum distribution.

Consider the case of John, a 62-year-old who was recently laid off from his tech company. John had $1 million in his 401(k), $800,000 of which was in company stock, originally purchased for $100,000. The market value of these shares had significantly appreciated. Opting for a lump-sum distribution, John transferred the $800,000 in company stock to a brokerage account and rolled the remaining $200,000 into an IRA tax-free. He paid ordinary income tax only on the original $100,000 cost basis, while subsequent sales of the stock were taxed at lower capital gains rates.

This strategic approach not only leverages a significant tax advantage but also reduces the volume of assets rolled over to an IRA, impacting future required minimum distributions (RMDs). Financial advisors need to assess the potential for stock appreciation within 401(k) plans to determine the prudence of such distributions.

As we progress through the early months of the year, advisors should prepare for potential NUA transactions, requiring careful execution. Understanding these financial strategies can transform the adverse event of a layoff into a substantial tax advantage.

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Select Medical Holdings employees and those affected by job cuts should consider resources like Ed Slott's 2-Day IRA Workshop for deeper insights into retirement planning and IRA management. For more information and registration, visit IRAhelp.com. Proactive financial planning can significantly mitigate the impact of job losses and optimize retirement outcomes.

For individuals aged 60 and older, the 2024 tax year brings an increased standard deduction, providing an additional tax benefit for retirees, especially those aged 65 and above. The increased standard deduction amounts to $1,750 for single filers and $1,400 for married couples filing jointly, allowing for more disposable income in retirement. This information is crucial for effective budget planning and is based on recent IRS updates.

Navigating the financial aftermath of layoffs with adept 401(k) management and taking advantage of the NUA tax deduction is akin to a skilled captain steering a ship through challenging waters. Just as the captain utilizes natural elements for a smoother, faster voyage, retirees can adeptly navigate their financial landscape, minimizing tax liabilities while maximizing retirement savings. A sound financial strategy can give you confidence in your retirement plans, much like a well-navigated maritime journey helps ensure a safe and swift passage.

What is the 401(k) plan offered by Select Medical Holdings?

The 401(k) plan offered by Select Medical Holdings is a retirement savings plan that allows employees to save a portion of their paycheck before taxes are taken out.

Does Select Medical Holdings match employee contributions to the 401(k) plan?

Yes, Select Medical Holdings provides a matching contribution to employee 401(k) accounts, subject to certain limits and conditions.

What is the eligibility requirement to participate in Select Medical Holdings' 401(k) plan?

Employees of Select Medical Holdings are typically eligible to participate in the 401(k) plan after completing a specified period of service, as outlined in the plan documents.

How can employees of Select Medical Holdings enroll in the 401(k) plan?

Employees can enroll in the Select Medical Holdings 401(k) plan by completing the enrollment process through the designated online portal or by contacting the HR department for assistance.

What types of investment options are available in the Select Medical Holdings 401(k) plan?

The Select Medical Holdings 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles, allowing employees to choose based on their risk tolerance.

Can employees of Select Medical Holdings take loans against their 401(k) savings?

Yes, Select Medical Holdings allows employees to take loans against their 401(k) savings, subject to the terms and conditions of the plan.

What happens to the 401(k) plan if an employee leaves Select Medical Holdings?

If an employee leaves Select Medical Holdings, they have several options for their 401(k) savings, including rolling over the balance into an IRA or a new employer's plan.

Are there any fees associated with the Select Medical Holdings 401(k) plan?

Yes, there may be administrative fees and investment-related fees associated with the Select Medical Holdings 401(k) plan, which are disclosed in the plan documents.

How often can employees change their contribution rates to the Select Medical Holdings 401(k) plan?

Employees can typically change their contribution rates to the Select Medical Holdings 401(k) plan at any time, subject to the plan's guidelines.

Does Select Medical Holdings provide financial education regarding the 401(k) plan?

Yes, Select Medical Holdings offers resources and financial education to help employees make informed decisions about their 401(k) savings and investments.

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For more information you can reach the plan administrator for Select Medical Holdings at , ; or by calling them at .

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